Treatment of diaphyseal femoral fractures with external fixation device

Valeriy Litvishko

Abstract


Choice of the best method for treatment of patients with diaphyseal fractures of long bones is debated issue of modern traumatology. Objective: to improve methods of treatment of diaphyseal femoral fractures with using of external fixation apparatus’ (EFA) produced by PE «ORTOPAK» and to evaluate outcomes of their using. Methods: we treated 80 patients with 83 fractures of the femur. In 32 of them fracture of the femur was combined with fractures of other segments. In the majority of patients (65) we performed closed reduction of fragments by skeletal traction system for 5–7 days followed by fixation with EFA, and in 15 ones simultaneous closed reduction and fixation with EFA was done. In 3 cases there was necessity for open reduction of fragments. Results: terms of fixation with EFA were 10 weeks in 22 (27.5%) patients, to 16 weeks — in 38 (47.5 %), to 20 — in 14 (17.5 %), to 24 — in 5 (6.25 %), and to 30 — in 1 (1.25 %) patients. Nonunion was observed in 3 (3.75 %) patients. Conclusion: diaphyseal femoral fractures might be effectively treated with EFA of PE «ORTOPAK» production choosing an adequate method of fragments’ reduction.

Keywords


femur; fractures; treatment; external fixation apparatus

References


Borovik I. N. Internal stresses and displacements in biomechanical design "femur fragments - external fixation" with loads and their influence on the shape of the regenerate bone / I. N. Borovik, A. K. Popsuyshapka // Litopys Traumatology and Orthopedics. — Kiev, 2009. — № 1-2. — P. 29-32.

Novachenko N. P. Treatment of diaphyseal fractures of the hip // Orthopedics, Traumatology and orthopedic case / N. P. Novachenko. — Kiev: National Health Publishing USSR, 1954. — P. 9-31.

Popsuyshapka A. K. Frequency of nonunion fragments with isolated diaphyseal fractures of long bones / A. K. Popsuyshapka, O. E. Uzhigova, V. A. Litvishko // Orthopedics, Traumatology and Prosthetics. — 2013. — № 1. — P. 39-43.

Popsuyshapka A. K. Functional mobility of fragments in the treatment of bone fractures shin external device / A. K. Popsuyshapka, V. I. Dubas //Orthopaedics, Traumatology and Prosthetics. — 2001. — № 1. — P. 36-39.

Romanenko K. K. Absolute and relative stability of the osteosynthesis of long bones / K. K. Romanenko, D. V. Prozorovskii, A. I. Belostotskii // Orthopedics, Traumatology and Prosthetics. — 2009. — № 1. - Р. 97-100.

Certificate of registration number 10276/211. Rod Devices for the connection of bone fragments in the treatment of fractures. TU. In 33.1-35700506-001:2011. According to the order of the State Inspection of Ukraine 15/03/2011.




DOI: https://doi.org/10.15674/0030-59872014216-22

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